Organization Name: | SOCIAL BUTTERFLY, INC. |
NPI Number: | 1962791830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALEXANDRIA LARIS ZACHOS (PRESIDENT/SPEECH-LANGUAGE PATHOLOGI) |
Mailing Address: | 8305 Highpoint Cir Apt G Darien |
State: | IL US |
Postal Code: | 605616607 |
Phone Number: | 7085331543 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2011 |
NPI Last Update Date: | 03/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146007823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |